NYSARC INC NYC CHAPTER
Intermediate Care Facility, Mentally Retarded
Ozone Park, New York
Provider NPI: 1225105349
Organization Information:Organization Name: NYSARC INC NYC CHAPTER
Practice Location:
9520 95TH ST OZONE PARK, NY 11416 US
Tel: 212-780-2631 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9520 95TH ST OZONE PARK, NY 11416 US
Tel: 212-780-2631 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NYS OMRDD OPERATING CERT | 6198431 | NY | 01 |
00733835 | NY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin